Uses and Disclosures Without Your Authorization:
Treatment: We may use and disclose your protected health information to provide you with
medical treatment and services. We may disclose your PHI to doctors, nurses or other health
care professionals who are involved in your care. We will also use your medical information
to coordinate and manage your healthcare and any related services. We may also provide your
medical information to people outside Tri-Life who may be involved in your medical care.
For example, we may provide information to an entity that becomes involved in your care
at our request to assist with treatment.
Payment: We may use and disclose your PHI to pay for services that are covered under
your benefit plan from an insurance plan or a third party. This may include providing
information to your health plan or insurance company before it approves or pays for healthcare
services that we recommend. We may also disclose medical information to other healthcare
providers for payment purposes. For example, we may tell your health insurance company
about recommendations for chronic pain treatment.
Health Care Operations: We may use and disclose your PHI as needed to support and
operate our business activities and make sure that our patients receive quality care.
Several examples of how we may use and disclose your PHI for health care operations include:
- We may call you by name in the waiting room when the clinical staff is ready to see you.
- We may use medical information about you to review our treatment and services and to
evaluate the performance of our staff.
- We may combine medical information from many patients to decide what additional services
we should offer and what services are not needed. Other reasons that we may disclose your
medical information include conducting training programs, underwriting for insurance, auditing,
business management and planning, and administrative functions.
- We may use medical information to remind you of appointments at our facility. We may
contact you with information about treatment alternatives or other health related benefits
or services that may be of interest to you.
Required by Law: We may use or disclose your PHI when we are required to do so by
federal, state or local law. The use or disclosure will be limited to what is required by law.
Health Oversight: We may disclose your PHI to health oversight agencies that are
responsible for activities such as inspections, audits and investigations. These activities
are necessary for the government to monitor the healthcare system, government programs and
civil rights laws.
Public Health and Safety: We may use or disclose your PHI for public health
activities such as to a public health authority or other government authority in charge of
collecting information for public health. For example, we may report vital statistics or
communicable diseases.
Abuse, Neglect or Domestic Violence: We may disclose your PHI to the appropriate
authorities to report a concern that you have been a victim of abuse, neglect or domestic
violence. Disclosure will be consistent with state and federal laws.
Legal Proceedings: We may disclose your PHI for legal proceedings in response
to a court order, administrative order, subpoena, discover request, or other lawful process.
Law Enforcement: We may disclose your PHI to law enforcement officials in
certain situations. For example, we may disclose PHI for legal proceedings, to help identify
or locate a suspect, witness or missing person; to report a suspicious death that may have
resulted from a crime; information concerning a crime on our property; and to report a
crime in a medical emergency.
Workers' Compensation: We may disclose your PHI as required by workers'
compensation laws and other similar programs that provide benefits for work-related injuries
or illnesses.